Tasha Wdowiak, is a
Licensed Practical Nurse based in Granite Falls, North Carolina. Tasha Wdowiak is licensed to practice in North Carolina (license number 71354) and her current practice location is
249 River Bend Dr, Granite Falls, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(855) 508-1993.
NPI number for Tasha Wdowiak is 1558205070 and her current mailing address is 249 River Bend Dr, Granite Falls, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558205070.
Provider's Profile
| Full Name | Tasha Wdowiak |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 249 River Bend Dr, Granite Falls, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558205070
- Provider Enumeration Date: 04/15/2026
- Last Update Date: 04/15/2026
Medical Identifiers
Medical identifiers for Tasha Wdowiak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558205070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 71354 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tasha Wdowiak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tasha Wdowiak, 249 River Bend Dr, Granite Falls, NC 28630-9388 Ph: (855) 508-1993 | Tasha Wdowiak, 249 River Bend Dr, Granite Falls, NC 28630-9388 Ph: (855) 508-1993 |
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